Identities/MBR-016456

Gold, golden identity

Theresa Henry

5 source records from 2 feeds.

MBR-016456Verified5 records

Golden record

Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip

First nameCLM: Theresa
Middle name—: —
Last nameCLM: Henry
Date of birthCLM: 1991-12-11
GenderCLM: F
Member IDCLM: UHC-34912-88
SSNCLM: •••-••-2400
Phone—: —
EmailCLM: theresa.henry21@icloud.com
AddressCLM: 8184 Meadow Ln Apt 13
CityCLM: San Diego
StateCLM: CA
ZIPCLM: 92175
GroupCLM: GRP-1724
PlanCLM: SELECT-EPO

Min confidence

0.86

Sources

CLM ×4TPA ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

Identity graph

Source records linked to this identity and the confidence of each link

Golden identityEnrollmentClaimsProvider networkThird-party administratorAuto link (at or above 0.85)Below thresholdSteward link

Linked source records

Silver values for each record in the cluster, and how it was attached

Record	Source	Received	Name	DOB	Member ID	Phone	Address	Method	Confidence	Rule
CLM-421923	CLM	2026-02-28	Theresa Henryflagged	1991-12-11	—	—	8184 Meadow Ln, San Diego, CA	Scored	1.00	—
CLM-421924	CLM	2026-03-06	Theresa Henryflagged	1990-12-11	—	—	8184 Meadow Ln Apt 11, San Diego, CA	Scored	0.86	—
CLM-421921	CLM	2026-05-02	Theresa Henryflagged	1991-12-11	UHC-34912-88	—	8184 Meadow Ln, San Diego, CA	Scored	1.00	—
TPA-59632	TPA	2026-08-15	Theresa Henryflagged	1991-12-11	—	—	8184 Meadow Ln, San Diego, CA	Scored	1.00	—
CLM-421922	CLM	2026-08-19	Theresa Henryflagged	1991-12-11	—	—	8184 Meadow Ln Apt 13, San Diego, CA	Scored	1.00	—

Evidence

10 scored pairs among these records, expand a row for the per-field comparison

Score

Method

Rule

Decision

▶CLM-421923CLMCLM-421921CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-421921CLMCLM-421922CLM 1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-59632TPACLM-421922CLM 1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-421923CLMTPA-59632TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-421921CLMTPA-59632TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-421923CLMCLM-421922CLM 0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-421924CLMCLM-421922CLM 0.86Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-421923CLMCLM-421924CLM0.86Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-421924CLMCLM-421921CLM0.81Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-421924CLMTPA-59632TPA0.81Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-421922 → UHC-34912-88 (Theresa Henry)
ACT-004118, Claims processor
Orphan claim re-pointedExecuted
CLM-421923 → UHC-34912-88 (Theresa Henry)
ACT-005388, Claims processor
Orphan claim re-pointedExecuted
CLM-421924 → UHC-34912-88 (Theresa Henry)
ACT-009801, Claims processor
Care coordination outreachProposed
Theresa Henry: 4 claims, no attributed provider
ACT-018913, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically9bb763d36d
scoring_agent, CLM-421922, identity id MBR-016456, confidence 1, method probabilistic, matched record CLM-421921, policy version 1
2026-10-22 12:43:54Record linked automatically5f76f117e1
scoring_agent, TPA-59632, identity id MBR-016456, confidence 1, method probabilistic, matched record CLM-421923, policy version 1
2026-10-22 12:43:54Record linked automatically9521babe95
scoring_agent, CLM-421921, identity id MBR-016456, confidence 1, method probabilistic, matched record CLM-421923, policy version 1
2026-10-22 12:43:54Record linked automaticallye615063c04
scoring_agent, CLM-421924, identity id MBR-016456, confidence 0.86, method probabilistic, matched record CLM-421923, policy version 1
2026-10-22 12:43:54Record linked automaticallye42ddb1e21
scoring_agent, CLM-421923, identity id MBR-016456, confidence 1, method probabilistic, matched record CLM-421921, policy version 1
2026-10-19 19:54:38Record linked automaticallyaf053cc2f1
scoring_agent, CLM-421922, identity id MBR-016456, confidence 1, method probabilistic, matched record CLM-421921, policy version 1
2026-10-19 19:54:38Record linked automaticallyca4d9ad614
scoring_agent, TPA-59632, identity id MBR-016456, confidence 1, method probabilistic, matched record CLM-421923, policy version 1
2026-10-19 19:54:38Record linked automatically649d5edf86
scoring_agent, CLM-421921, identity id MBR-016456, confidence 1, method probabilistic, matched record CLM-421923, policy version 1
2026-10-19 19:54:38Record linked automatically6041264201
scoring_agent, CLM-421924, identity id MBR-016456, confidence 0.86, method probabilistic, matched record CLM-421923, policy version 1
2026-10-19 19:54:38Record linked automaticallya9abbc334e
scoring_agent, CLM-421923, identity id MBR-016456, confidence 1, method probabilistic, matched record CLM-421921, policy version 1
2026-10-19 19:52:09Record linked automaticallyfc3b598d75
scoring_agent, CLM-421922, identity id MBR-016456, confidence 1, method probabilistic, matched record CLM-421921, policy version 1
2026-10-19 19:52:09Record linked automaticallydd9419ade0
scoring_agent, TPA-59632, identity id MBR-016456, confidence 1, method probabilistic, matched record CLM-421923, policy version 1
2026-10-19 19:52:09Record linked automaticallyd50aaad435
scoring_agent, CLM-421921, identity id MBR-016456, confidence 1, method probabilistic, matched record CLM-421923, policy version 1
2026-10-19 19:52:09Record linked automatically3332728fa6
scoring_agent, CLM-421924, identity id MBR-016456, confidence 0.86, method probabilistic, matched record CLM-421923, policy version 1
2026-10-19 19:52:09Record linked automatically47ce8ea601
scoring_agent, CLM-421923, identity id MBR-016456, confidence 1, method probabilistic, matched record CLM-421921, policy version 1
2026-10-19 19:45:42Record linked automatically50aac8871f
scoring_agent, CLM-421922, identity id MBR-016456, confidence 1, method probabilistic, matched record CLM-421921, policy version 1
2026-10-19 19:45:42Record linked automaticallyc49754cb7a
scoring_agent, TPA-59632, identity id MBR-016456, confidence 1, method probabilistic, matched record CLM-421923, policy version 1
2026-10-19 19:45:42Record linked automatically36ca187ac3
scoring_agent, CLM-421921, identity id MBR-016456, confidence 1, method probabilistic, matched record CLM-421923, policy version 1
2026-10-19 19:45:42Record linked automatically4ecc79d75f
scoring_agent, CLM-421924, identity id MBR-016456, confidence 0.86, method probabilistic, matched record CLM-421923, policy version 1
2026-10-19 19:45:42Record linked automatically41eced4cc8
scoring_agent, CLM-421923, identity id MBR-016456, confidence 1, method probabilistic, matched record CLM-421921, policy version 1
2026-10-19 19:32:31Record linked automatically7b396e6627
scoring_agent, CLM-421922, identity id MBR-016456, confidence 1, method probabilistic, matched record CLM-421921, policy version 1
2026-10-19 19:32:31Record linked automatically3fdb435ef4
scoring_agent, TPA-59632, identity id MBR-016456, confidence 1, method probabilistic, matched record CLM-421923, policy version 1
2026-10-19 19:32:31Record linked automatically19f48d10e9
scoring_agent, CLM-421921, identity id MBR-016456, confidence 1, method probabilistic, matched record CLM-421923, policy version 1
2026-10-19 19:32:31Record linked automatically5d9ca9131f
scoring_agent, CLM-421924, identity id MBR-016456, confidence 0.86, method probabilistic, matched record CLM-421923, policy version 1
2026-10-19 19:32:31Record linked automatically60650667ed
scoring_agent, CLM-421923, identity id MBR-016456, confidence 1, method probabilistic, matched record CLM-421921, policy version 1
2026-10-19 19:31:28Record linked automatically9e2e559ee2
matching_agent, CLM-421923, identity id MBR-044592, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-128812
2026-10-19 19:31:28Record linked automatically59a13cb213
matching_agent, CLM-421922, identity id MBR-012886, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421921
2026-10-19 19:31:28Record linked automaticallya2c792b282
matching_agent, CLM-421921, identity id MBR-012886, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421922
2026-10-19 19:31:28Record linked automaticallya01bfc3026
matching_agent, TPA-59632, identity id MBR-007303, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-59631
2026-10-19 19:31:28Record linked automatically3fdd28b066
matching_agent, CLM-421924, identity id MBR-000316, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-59584

Claims for this member

Claims attached through the identity graph; holds follow open steward cases automatically

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-010628	2026-07-17	Lakeside Physical Therapy in network	97110	$186.00	$75.32	Approved	Approved
CLM-2026-002387	2026-04-12	Lakeside Internal Medicine Associates in network	80053, 93000	$167.00	$63.54	Approved	Approved
CLM-2026-032222	2026-02-18	Unity Physical Therapy in network	97110	$320.00	$158.40	Approved	Approved
CLM-2026-015377	2026-02-04	Sunrise Medical Group in network	99214, 80053	$313.00	$154.06	Approved	Approved